PEAT Final Actual Exam Test Bank (Latest
2025/2026) – 200 Questions with Verified
Answers & Detailed Rationale | 100% Correct |
A+ Guaranteed Success
Overview:
Prepare to excel in the PEAT Final Exam with this comprehensive and meticulously curated 200-
question test bank. Each question includes the correct answer in bold and a detailed rationale
to reinforce understanding and critical thinking.
This resource is designed for:
Thorough Exam Preparation: Covering high-yield concepts, priority nursing actions,
pharmacology, lab interpretation, patient safety, and critical thinking scenarios.
Efficient Study: Organized in clear batches to maximize retention and review.
Practical Application: Rationales explain not just what the correct answer is, but why,
bridging theory and clinical practice.
Confidence Boosting: Ensure you understand the reasoning behind every answer,
helping you approach the actual exam with confidence.
Whether you’re aiming for a high score or simply need a structured, exam-focused review, this
guide gives you the most reliable and up-to-date material to achieve success.
1. A patient with chronic kidney disease is scheduled for hemodialysis. Which
finding should the nurse assess first?
A. Hair loss
B. Fluid overload and electrolyte imbalances
C. Visual acuity
D. Skin turgor
Rationale: CKD patients are at risk for fluid retention and dangerous electrolyte
shifts. Assessing these before dialysis is critical.
,2. A patient with asthma is prescribed a metered-dose inhaler. The nurse
instructs the patient to:
A. Exhale after inhalation
B. Hold breath for 10 seconds after inhalation
C. Inhale rapidly and forcefully
D. Shake the inhaler only after use
Rationale: Holding the breath allows the medication to deposit effectively in the
lungs.
3. Which is the priority intervention for a patient experiencing hypoglycemia?
A. Encourage oral intake of water
B. Administer 15–20 g of fast-acting carbohydrate
C. Administer insulin
D. Encourage exercise
Rationale: Rapid glucose administration prevents seizures, loss of consciousness,
and other complications.
4. A patient with heart failure reports orthopnea. What should the nurse do
first?
A. Encourage fluids
B. Elevate the head of the bed
C. Lay flat
D. Administer diuretics only
Rationale: Upright positioning reduces pulmonary congestion and eases
breathing.
5. A patient taking digoxin reports nausea, vomiting, and blurred vision. What is
the priority action?
A. Hold dose and notify provider
B. Encourage hydration
,C. Administer next dose
D. Monitor only
Rationale: These are classic signs of digoxin toxicity, which can be life-
threatening.
6. A patient with diabetic ketoacidosis presents with Kussmaul respirations.
First action:
A. Encourage oral fluids
B. Assess airway, oxygenation, and notify provider
C. Monitor only
D. Administer insulin without assessment
Rationale: Severe metabolic acidosis affects airway and perfusion; priority is
assessment and oxygen support.
7. A patient with COPD receiving 2 L/min O₂ via nasal cannula should have:
A. Oxygen increased to 6 L/min without order
B. SpO₂ and respiratory status monitored
C. Oxygen removed frequently
D. Aerosol therapy administered only
Rationale: COPD patients risk CO₂ retention; oxygen must be titrated carefully.
8. A patient reports sudden chest pain radiating to the left arm. Priority nursing
action:
A. Administer analgesics
B. Encourage rest
C. Assess vital signs, apply oxygen, and notify provider
D. Document symptoms
Rationale: Signs suggest myocardial infarction; prompt intervention is essential.
9. A patient receiving IV potassium shows irregular heartbeat. Priority action:
, A. Slight redness at IV site
B. Assess cardiac rhythm and notify provider
C. Mild nausea
D. Slight swelling
Rationale: Rapid potassium infusion can trigger life-threatening arrhythmias.
10. A patient with Parkinson’s disease has difficulty swallowing. Nurse should:
A. Offer thin liquids only
B. Thicken liquids and provide small, frequent meals
C. Force food quickly
D. Position patient flat
Rationale: Thickened liquids reduce aspiration risk; upright positioning promotes
safe swallowing.
11. Which lab is most important to monitor in a patient with CHF and edema?
A. Hemoglobin
B. BNP and electrolytes
C. Liver enzymes
D. Glucose
Rationale: BNP indicates cardiac strain; electrolyte monitoring is essential for
diuretic therapy.
12. A patient exhibits positive Trousseau’s and Chvostek’s signs. This indicates:
A. Muscle weakness
B. Hyperactive bowel sounds
C. Hypocalcemia
D. Bradycardia only
Rationale: Hypocalcemia increases neuromuscular excitability, causing these
signs.
2025/2026) – 200 Questions with Verified
Answers & Detailed Rationale | 100% Correct |
A+ Guaranteed Success
Overview:
Prepare to excel in the PEAT Final Exam with this comprehensive and meticulously curated 200-
question test bank. Each question includes the correct answer in bold and a detailed rationale
to reinforce understanding and critical thinking.
This resource is designed for:
Thorough Exam Preparation: Covering high-yield concepts, priority nursing actions,
pharmacology, lab interpretation, patient safety, and critical thinking scenarios.
Efficient Study: Organized in clear batches to maximize retention and review.
Practical Application: Rationales explain not just what the correct answer is, but why,
bridging theory and clinical practice.
Confidence Boosting: Ensure you understand the reasoning behind every answer,
helping you approach the actual exam with confidence.
Whether you’re aiming for a high score or simply need a structured, exam-focused review, this
guide gives you the most reliable and up-to-date material to achieve success.
1. A patient with chronic kidney disease is scheduled for hemodialysis. Which
finding should the nurse assess first?
A. Hair loss
B. Fluid overload and electrolyte imbalances
C. Visual acuity
D. Skin turgor
Rationale: CKD patients are at risk for fluid retention and dangerous electrolyte
shifts. Assessing these before dialysis is critical.
,2. A patient with asthma is prescribed a metered-dose inhaler. The nurse
instructs the patient to:
A. Exhale after inhalation
B. Hold breath for 10 seconds after inhalation
C. Inhale rapidly and forcefully
D. Shake the inhaler only after use
Rationale: Holding the breath allows the medication to deposit effectively in the
lungs.
3. Which is the priority intervention for a patient experiencing hypoglycemia?
A. Encourage oral intake of water
B. Administer 15–20 g of fast-acting carbohydrate
C. Administer insulin
D. Encourage exercise
Rationale: Rapid glucose administration prevents seizures, loss of consciousness,
and other complications.
4. A patient with heart failure reports orthopnea. What should the nurse do
first?
A. Encourage fluids
B. Elevate the head of the bed
C. Lay flat
D. Administer diuretics only
Rationale: Upright positioning reduces pulmonary congestion and eases
breathing.
5. A patient taking digoxin reports nausea, vomiting, and blurred vision. What is
the priority action?
A. Hold dose and notify provider
B. Encourage hydration
,C. Administer next dose
D. Monitor only
Rationale: These are classic signs of digoxin toxicity, which can be life-
threatening.
6. A patient with diabetic ketoacidosis presents with Kussmaul respirations.
First action:
A. Encourage oral fluids
B. Assess airway, oxygenation, and notify provider
C. Monitor only
D. Administer insulin without assessment
Rationale: Severe metabolic acidosis affects airway and perfusion; priority is
assessment and oxygen support.
7. A patient with COPD receiving 2 L/min O₂ via nasal cannula should have:
A. Oxygen increased to 6 L/min without order
B. SpO₂ and respiratory status monitored
C. Oxygen removed frequently
D. Aerosol therapy administered only
Rationale: COPD patients risk CO₂ retention; oxygen must be titrated carefully.
8. A patient reports sudden chest pain radiating to the left arm. Priority nursing
action:
A. Administer analgesics
B. Encourage rest
C. Assess vital signs, apply oxygen, and notify provider
D. Document symptoms
Rationale: Signs suggest myocardial infarction; prompt intervention is essential.
9. A patient receiving IV potassium shows irregular heartbeat. Priority action:
, A. Slight redness at IV site
B. Assess cardiac rhythm and notify provider
C. Mild nausea
D. Slight swelling
Rationale: Rapid potassium infusion can trigger life-threatening arrhythmias.
10. A patient with Parkinson’s disease has difficulty swallowing. Nurse should:
A. Offer thin liquids only
B. Thicken liquids and provide small, frequent meals
C. Force food quickly
D. Position patient flat
Rationale: Thickened liquids reduce aspiration risk; upright positioning promotes
safe swallowing.
11. Which lab is most important to monitor in a patient with CHF and edema?
A. Hemoglobin
B. BNP and electrolytes
C. Liver enzymes
D. Glucose
Rationale: BNP indicates cardiac strain; electrolyte monitoring is essential for
diuretic therapy.
12. A patient exhibits positive Trousseau’s and Chvostek’s signs. This indicates:
A. Muscle weakness
B. Hyperactive bowel sounds
C. Hypocalcemia
D. Bradycardia only
Rationale: Hypocalcemia increases neuromuscular excitability, causing these
signs.
